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Social Jetlag (SJL) Syndrome

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Social Jet-Lag (SJL) is a form of circadian misalignment that arises from the discrepancy between an individual’s internal biological clock and the social clock determined by societal obligations such as school or work schedules. The concept was first introduced by chronobiology professor Till Roenneberg in 2006 and was elaborated in his 2012 book Internal Time. Social jet-lag occurs due to the difference between weekday and weekend sleep schedules. When a person goes to bed and wakes up later on weekends than on workdays, this disrupts the body’s natural sleep rhythm and leads to the syndrome. Roenneberg emphasized that the effects of this condition mirror those of jet-lag and can influence everything from daily functioning to long-term health outcomes.

Conceptual Framework

To understand social jet-lag, it is essential to recognize three primary clocks that govern daily life: the Solar Clock, the Circadian (Biological) Clock, and the Social Clock.

Circadian Rhythm and the Biological Clock

In mammals, including humans, there exists an intrinsic, self-sustained timing system known as the circadian clock, which operates on a near-24-hour cycle. This biological clock is hierarchically organized, consisting of a master clock located in the suprachiasmatic nucleus (SCN) of the hypothalamus and peripheral clocks located in various tissues and cells throughout the body. The circadian clock regulates a wide range of physiological and behavioral processes, including metabolic functions, hormone secretion, body temperature regulation, heart rate, and sleep timing. This system is synchronized daily by environmental cues known as zeitgebers, among which light is the most predictable and influential.

The Social Clock

The social clock refers to the time framework that encompasses social activities and obligations (such as attending school or work and maintaining social relationships). The standardized—typically early—schedules imposed by modern work and education systems often fail to account for individual biological preferences, known as chronotypes. Because of these social obligations, individuals may interfere with their circadian timing by setting alarm clocks or consuming stimulants to remain awake. Consequently, SJL represents a chronic condition in which the demands of the social clock consistently override the needs of the circadian clock.

Chronotype

Chronotype describes an individual’s innate preference for the timing of sleep and activity, reflecting their underlying biological phase. For example, those who prefer early activity are referred to as “larks” (morning types), while those who prefer later activity are “owls” (evening types). Evening types tend to experience greater misalignment with social norms, as their natural sleep and wake times conflict with standard schedules.

Chronotype is also modulated by intrinsic factors such as age and gender. During adolescence, there is a natural shift toward eveningness, while adulthood and aging bring a gradual return toward morningness.

Prevalence and Risk Groups

Social jet-lag is a widespread issue in industrialized nations and constitutes a public health concern. It is estimated that nearly two-thirds—or up to 70%—of the population engaged in work or education experience some degree of social jet-lag lasting for years. Approximately half of these individuals report two or more hours of discrepancy. The most vulnerable groups include employees and students bound by standardized early schedules. Occupations that require irregular or shift work (e.g., nurses and factory workers) are particularly susceptible due to misalignment between work hours and circadian rhythms.

Adolescents are another high-risk group, as physiological changes during puberty alter sleep timing and increase the likelihood of circadian misalignment.

Measuring Social Jet-Lag

The quantification of social jet-lag (SJL) is based on assessing the phase synchronization between an individual’s circadian clock and their social clock, specifically by comparing sleep timing on work/school days and free days. Both subjective questionnaires and objective biological markers can be used for this purpose.

Among subjective tools, the Munich ChronoType Questionnaire (MCTQ) is the most widely used. This instrument evaluates the degree of phase synchronization and estimates an individual’s chronotype—morningness or eveningness—based on the mid-sleep time on free days (MSF).

SJL is then calculated as the absolute difference between mid-sleep time on free days (MSF) and on work/school days (MSW) SJL = |MSF - MSW|. This formula provides a numerical measure of how far an individual’s sleep timing deviates from their biological preference due to social obligations.

Alternatively, objective measures can determine the true phase of the biological clock using circadian phase markers such as Dim Light Melatonin Onset (DLMO) or Core Body Temperature (CBT), offering physiological evidence of circadian misalignment.

Adverse Health Effects of Social Jet-Lag

Social Jet-Lag (SJL), as a chronic desynchronization between an individual’s internal circadian rhythm and socially imposed timing, triggers a broad spectrum of physiological and psychological processes detrimental to human health. Combined with chronic sleep deprivation, it substantially increases health risks.

Biological and Metabolic Effects

Circadian misalignment caused by social jet-lag disrupts fundamental metabolic and physiological mechanisms, paving the way for long-term biological consequences.

Individuals experiencing SJL are at greater risk of developing obesity and metabolic syndrome (MetS). Furthermore, this chronic misalignment has been associated with cardiovascular problems and hypertension. Over the long term, disorders linked to SJL include diabetes mellitus, certain types of cancer, cognitive impairments, and even Alzheimer’s disease.

Socio-Psychological Effects and Mental Health

The impact of circadian misalignment on daily functioning extends to mental health, resulting in socio-psychological outcomes that negatively affect mood and performance. Individuals with SJL frequently experience daytime sleepiness, chronic fatigue, poor mood, and depressive symptoms.

Circadian misalignment is directly associated with impaired alertness and reduced cognitive and functional performance.

Among adolescents—who are naturally prone to phase delays—the mental health effects of social jet-lag are particularly pronounced:


  • Emotional Disorders: Studies indicate an association between SJL and symptoms of anxiety and depression.
  • Behavioral Problems: It may contribute to aggressiveness, substance use, and alcohol dependence.
  • Quality of Life: SJL has been shown to lower overall life satisfaction and well-being.
  • Academic Performance: Misalignment between school schedules and biological rhythms leads to poorer academic outcomes among adolescents.
  • Other Specific Issues: In female adolescents, SJL has also been linked to severe menstrual symptoms and cycle irregularities.

Bibliographies

Caliandro, Rocco, Astrid A. Streng, Linda W. M. van Kerkhof, Gijsbertus T. J. van der Horst, and Inês Chaves. 2021. “Social Jetlag and Related Risks for Human Health: A Timely Review.” Nutrients 13 (2021): 4543. Accessed October 19, 2025. https://pmc.ncbi.nlm.nih.gov/articles/PMC8707256/pdf/nutrients-13-04543.pdf


Çelik, Hülya, and Esra Uslu. “Sosyal Jetlag ve Adölesan Ruh Sağlığı Üzerine Etkileri.” Türk Uyku Tıbbı Dergisi ,9 (2012): 89–94. Accessed October 19, 2025. https://jtsm.org/pdf/477dd3ac-0088-448a-a453-fd2929e03f96/articles/jtsm.galenos.2021.08379/JTSM-9-89.pdf


Uzunay, A. Ş., S. Kalfaoğlu, and T. Akgemci. “Sosyal Jet-Lag Sendromu Üzerine Bir Değerlendirme.” Sosyal Araştırmalar ve Yönetim Dergisi (SAYOD) (2020): 53–61. Accessed October 19, 2025. https://dergipark.org.tr/tr/download/article-file/1108385

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Main AuthorNursena ŞahinOctober 22, 2025 at 5:01 PM
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